CSF Dynamics for Shunt Prognostication and Revision in Normal Pressure Hydrocephalus.
CSF dynamics
CSF infusion tests
cerebral blood flow
hydrocephalus
intracranial pressure
normal pressure hydrocephalus
Journal
Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588
Informations de publication
Date de publication:
15 Apr 2021
15 Apr 2021
Historique:
received:
31
12
2020
revised:
09
04
2021
accepted:
12
04
2021
entrez:
30
4
2021
pubmed:
1
5
2021
medline:
1
5
2021
Statut:
epublish
Résumé
Despite the quantitative information derived from testing of the CSF circulation, there is still no consensus on what the best approach could be in defining criteria for shunting and predicting response to CSF diversion in normal pressure hydrocephalus (NPH). We aimed to review the lessons learned from assessment of CSF dynamics in our center and summarize our findings to date. We have focused on reporting the objective perspective of CSF dynamics testing, without further inferences to individual patient management. No single parameter from the CSF infusion study has so far been able to serve as an unquestionable outcome predictor. Resistance to CSF outflow (Rout) is an important biological marker of CSF circulation. It should not, however, be used as a single predictor for improvement after shunting. Testing of CSF dynamics provides information on hydrodynamic properties of the cerebrospinal compartment: the system which is being modified by a shunt. Our experience of nearly 30 years of studying CSF dynamics in patients requiring shunting and/or shunt revision, combined with all the recent progress made in producing evidence on the clinical utility of CSF dynamics, has led to reconsidering the relationship between CSF circulation testing and clinical improvement. Despite many open questions and limitations, testing of CSF dynamics provides unique perspectives for the clinician. We have found value in understanding shunt function and potentially shunt response through shunt testing in vivo. In the absence of infusion tests, further methods that provide a clear description of the pre and post-shunting CSF circulation, and potentially cerebral blood flow, should be developed and adapted to the bed-space.
Sections du résumé
BACKGROUND
BACKGROUND
Despite the quantitative information derived from testing of the CSF circulation, there is still no consensus on what the best approach could be in defining criteria for shunting and predicting response to CSF diversion in normal pressure hydrocephalus (NPH).
OBJECTIVE
OBJECTIVE
We aimed to review the lessons learned from assessment of CSF dynamics in our center and summarize our findings to date. We have focused on reporting the objective perspective of CSF dynamics testing, without further inferences to individual patient management.
DISCUSSION
CONCLUSIONS
No single parameter from the CSF infusion study has so far been able to serve as an unquestionable outcome predictor. Resistance to CSF outflow (Rout) is an important biological marker of CSF circulation. It should not, however, be used as a single predictor for improvement after shunting. Testing of CSF dynamics provides information on hydrodynamic properties of the cerebrospinal compartment: the system which is being modified by a shunt. Our experience of nearly 30 years of studying CSF dynamics in patients requiring shunting and/or shunt revision, combined with all the recent progress made in producing evidence on the clinical utility of CSF dynamics, has led to reconsidering the relationship between CSF circulation testing and clinical improvement.
CONCLUSIONS
CONCLUSIONS
Despite many open questions and limitations, testing of CSF dynamics provides unique perspectives for the clinician. We have found value in understanding shunt function and potentially shunt response through shunt testing in vivo. In the absence of infusion tests, further methods that provide a clear description of the pre and post-shunting CSF circulation, and potentially cerebral blood flow, should be developed and adapted to the bed-space.
Identifiants
pubmed: 33921142
pii: jcm10081711
doi: 10.3390/jcm10081711
pmc: PMC8071572
pii:
doi:
Types de publication
Journal Article
Review
Langues
eng
Références
Neurocrit Care. 2009;11(2):143-50
pubmed: 19565359
J Neurosurg. 2001 Mar;94(3):392-6
pubmed: 11235941
Fluids Barriers CNS. 2018 Feb 09;15(1):5
pubmed: 29422104
Acta Neurochir (Wien). 2009 Mar;151(3):217-21; discussion 221
pubmed: 19238319
Brain. 1973 Jun;96(2):329-36
pubmed: 4197586
Neurol Med Chir (Tokyo). 1999 Nov;39(12):841-5; discussion 845-6
pubmed: 10639810
Med Biol Eng Comput. 2007 Aug;45(8):719-35
pubmed: 17634761
J Neurol Neurosurg Psychiatry. 2002 Dec;73(6):721-6
pubmed: 12438477
J Neurosurg Pediatr. 2014 Nov;14 Suppl 1:77-81
pubmed: 25988786
Acta Neurol Scand. 2011 Aug;124(2):85-98
pubmed: 21208195
Br J Neurosurg. 2004 Feb;18(1):56-61
pubmed: 15040716
Acta Neurochir (Wien). 1995;136(3-4):195-203
pubmed: 8748854
J Neurotrauma. 2012 May 1;29(7):1354-63
pubmed: 21895518
Acta Neurol Scand. 2012 Mar;125(3):199-205
pubmed: 21651504
Acta Neurochir (Wien). 2017 Jun;159(6):987-994
pubmed: 28421283
J Neurol Neurosurg Psychiatry. 2013 Aug;84(8):850-7
pubmed: 23457222
BMJ Case Rep. 2018 May 16;2018:
pubmed: 29769186
Acta Neurol Scand. 1973;49(5):557-74
pubmed: 4770652
J Neurol Neurosurg Psychiatry. 1978 Apr;41(4):345-53
pubmed: 650242
Neurosurg Focus. 2007 May 15;22(5):E10
pubmed: 17613228
Acta Neurochir (Wien). 2020 May;162(5):1019-1031
pubmed: 32078047
Acta Neurochir Suppl. 2012;114:121-5
pubmed: 22327676
Acta Neurochir (Wien). 2005 Oct;147(10):1027-35; discussion 1035-6
pubmed: 16044359
J Neurosurg. 2018 Mar 16;130(1):154-162
pubmed: 29547089
Neurosurg Focus. 2008 Oct;25(4):E2
pubmed: 18828700
J Neurosurg Pediatr. 2014 Nov;14 Suppl 1:35-43
pubmed: 25988781
Acta Neurochir Suppl. 2018;126:229-232
pubmed: 29492566
J Neurosurg. 2014 Nov;121(5):1257-63
pubmed: 25192478
Clin Neurol Neurosurg. 2013 Sep;115(9):1626-31
pubmed: 23489444
Acta Neurochir Suppl. 2005;95:25-8
pubmed: 16463814
J Neurotrauma. 2010 Nov;27(11):1951-8
pubmed: 20812789
Neurosurgery. 2001 Nov;49(5):1214-22; discussion 1222-3
pubmed: 11846915
J Neurol. 2016 Aug;263(8):1669-77
pubmed: 27017344
J Neurosurg. 1996 Dec;85(6):1026-35
pubmed: 8929491
Neurol Res. 2007 Apr;29(3):260-3
pubmed: 17509224
Acta Neurochir (Wien). 2003 Jul;145(7):527-32; discussion 532
pubmed: 12910394
World Neurosurg. 2014 Feb;81(2):404-10
pubmed: 23380280
Med Biol Eng Comput. 2005 Jan;43(1):71-7
pubmed: 15742722
J Neurol Neurosurg Psychiatry. 2005 Jul;76(7):965-70
pubmed: 15965203
Acta Neurochir (Wien). 2020 May;162(5):1001-1009
pubmed: 31832847
Brain. 1982 Mar;105(Pt 1):65-86
pubmed: 7066675
J Comput Assist Tomogr. 2015 Jul-Aug;39(4):531-40
pubmed: 25974719
Acta Neurol Scand. 2013 Jul;128(1):17-23
pubmed: 23278837
Acta Neurochir (Wien). 2007 Jun;149(6):549-55; discussion 555
pubmed: 17476455
J Neurosurg. 2003 May;98(5):1045-55
pubmed: 12744365
Neurocrit Care. 2016 Dec;25(3):446-454
pubmed: 27389005
Pediatr Neurosurg. 2008;44(4):269-79
pubmed: 18480615
Dev Med Child Neurol. 2003 Jan;45(1):28-33
pubmed: 12549752
Neurosurgery. 1998 Feb;42(2):327-33; discussion 333-4
pubmed: 9482183
Neurocrit Care. 2017 Jun;26(3):330-338
pubmed: 28000131
Adv Tech Stand Neurosurg. 2005;30:107-74
pubmed: 16350454
Neurocrit Care. 2009;10(1):122-8
pubmed: 18807218
J Neurosurg. 2014 Mar;120(3):697-707
pubmed: 24405071
J Korean Neurosurg Soc. 2013 Nov;54(5):437-40
pubmed: 24379955
Acta Neurol Scand. 2012 Mar;125(3):163-70
pubmed: 21554255
Acta Neurol Scand. 2007 Sep;116(3):137-43
pubmed: 17714325
J Neurol Sci. 2013 Nov 15;334(1-2):55-62
pubmed: 23938354
Semin Ultrasound CT MR. 2016 Apr;37(2):120-8
pubmed: 27063662
J Neurotrauma. 2010 Feb;27(2):317-24
pubmed: 19852586
Clin Neurol Neurosurg. 2016 Apr;143:34-8
pubmed: 26895207
Acta Neurochir (Wien). 1996;138(5):531-41; discussion 541-2
pubmed: 8800328
Acta Neurochir (Wien). 2018 May;160(5):1097-1103
pubmed: 29520439
Neurol Res. 2007 Dec;29(8):798-802
pubmed: 17601366
J Neurol Neurosurg Psychiatry. 2013 May;84(5):562-8
pubmed: 23250963
Neurology. 1992 Apr;42(4):851-8
pubmed: 1565241
Acta Neurochir Suppl. 2008;102:283-5
pubmed: 19388330
J Neurol Neurosurg Psychiatry. 1997 Dec;63(6):721-31
pubmed: 9416805
Fluids Barriers CNS. 2020 Mar 30;17(1):24
pubmed: 32228689
Acta Neurochir (Wien). 2017 Nov;159(11):2063-2065
pubmed: 28849287
Neurosurgery. 2011 Jun;68(6):1586-93; discussion 1593
pubmed: 21336219
J Neurol Neurosurg Psychiatry. 2004 Jun;75(6):813-21
pubmed: 15145991
Br J Neurosurg. 2016;30(1):38-42
pubmed: 25968325
Neurosurgery. 2002 Jan;50(1):70-7
pubmed: 11844236
J Neurol Neurosurg Psychiatry. 2015 Feb;86(2):222-8
pubmed: 24963125
Med Biol Eng Comput. 2014 Jan;52(1):75-85
pubmed: 24151060
Neurology. 1996 Jan;46(1):198-202
pubmed: 8559374
J Neurosurg. 2014 Oct;121(4):776-84
pubmed: 25036194
Acta Neurochir Suppl. 2002;81:3-5
pubmed: 12168331
Acta Neurochir Suppl. 2003;86:581-5
pubmed: 14753510
J Neurosurg. 2008 Nov;109(5):918-22
pubmed: 18976085
Acta Neurochir Suppl. 2005;95:169-72
pubmed: 16463844
Brain. 2012 Aug;135(Pt 8):2399-408
pubmed: 22734128
J Neurol Sci. 2020 Jan 15;408:116581
pubmed: 31760225
Brain Pathol. 2015 Jan;25(1):63-78
pubmed: 25521178
Anesth Analg. 2004 Apr;98(4):1133-9, table of contents
pubmed: 15041613
Acta Neurochir Suppl. 2006;96:108-13
pubmed: 16671436
Med Eng Phys. 2006 Jul;28(6):579-87
pubmed: 16275153
Neurosurg Focus. 2016 Nov;41(5):E6
pubmed: 27798984
Fluids Barriers CNS. 2017 Sep 12;14(1):24
pubmed: 28899431
Physiol Meas. 2005 Dec;26(6):1039-48
pubmed: 16311451
Math Med Biol. 2013 Jun;30(2):157-74
pubmed: 22345141
Acta Neurochir (Wien). 1990;106(1-2):1-8
pubmed: 2270783
Neurocrit Care. 2009;10(3):373-86
pubmed: 19127448
J Neurosurg. 2001 Mar;94(3):482-6
pubmed: 11235954
Acta Neurol Scand. 2016 Sep;134(3):168-80
pubmed: 26666840
Acta Neurochir Suppl. 2012;113:9-14
pubmed: 22116414
Clin Nucl Med. 2013 Sep;38(9):671-6
pubmed: 23816939
J Neurosurg. 1991 Apr;74(4):597-600
pubmed: 2002373
Neurology. 1970 Jun;20(6):534-44
pubmed: 5463608
Acta Neurol Scand. 2003 Dec;108(6):381-8
pubmed: 14616289
Br J Neurosurg. 2002 Feb;16(1):30-5
pubmed: 11926462
Clin Neurol Neurosurg. 2003 Jul;105(3):193-202
pubmed: 12860514
J Neurosurg. 1999 Jul;91(1):11-9
pubmed: 10389874
Neurol Res. 2004 Sep;26(6):628-31
pubmed: 15327752
Acta Neurol Scand. 2014 Aug;130(2):131-8
pubmed: 24660859
Neurol Res. 2010 May;32(4):425-8
pubmed: 19703359
J Magn Reson Imaging. 2018 Apr;47(4):913-927
pubmed: 28960686
Childs Nerv Syst. 2020 Jan;36(1):73-86
pubmed: 31325030
Neurosurgery. 1997 Jul;41(1):11-7; discussion 17-9
pubmed: 9218290
J Neurosurg. 2010 Dec;113(6):1294-303
pubmed: 20831359
J Neurosurg Pediatr. 2008 Jun;1(6):435-8
pubmed: 18518692
Acta Neurochir (Wien). 1992;119(1-4):12-6
pubmed: 1481738
Acta Neurol Scand. 2008 Sep;118(3):182-8
pubmed: 18513347
Acta Neurochir Suppl. 2021;131:359-363
pubmed: 33839875
Neuroradiology. 2010 May;52(5):381-6
pubmed: 19847409
Acta Neurochir (Wien). 2002 Jun;144(6):525-38; discussion 538
pubmed: 12111485
Childs Nerv Syst. 2020 Jan;36(1):59-71
pubmed: 31372736
Acta Neurochir Suppl. 2002;81:43-5
pubmed: 12168353
Acta Neurochir (Wien). 2015 Oct;157(10):1709-18; discussion 1719
pubmed: 26190755
Acta Neurochir (Wien). 2002 Mar;144(3):243-54
pubmed: 11956937
J Neurosurg. 1998 May;88(5):802-8
pubmed: 9576246
Acta Neurochir Suppl. 2005;95:207-11
pubmed: 16463851
Acta Neurochir Suppl. 2008;102:137-40
pubmed: 19388305
Eur J Anaesthesiol Suppl. 2008;42:137-41
pubmed: 18289431
J Neurosurg. 2017 Jun;126(6):2002-2009
pubmed: 27419822
Neurology. 2017 Feb 7;88(6):577-585
pubmed: 28062721
Eur J Anaesthesiol Suppl. 2008;42:142-5
pubmed: 18289432
Acta Neurochir (Wien). 2010 Oct;152(10):1763-9
pubmed: 20700750
Neurology. 2015 Dec 8;85(23):2063-71
pubmed: 26644048
Acta Neurochir Suppl. 2005;95:253-6
pubmed: 16463859
Childs Nerv Syst. 1999 May;15(5):213-7; discussion 218
pubmed: 10392490
Acta Neurochir (Wien). 2004 Feb;146(2):131-41
pubmed: 14963745
Stroke. 2010 Sep;41(9):1951-6
pubmed: 20651274
J Neurosurg. 2020 Jan 10;:1-10
pubmed: 31923893
J Neurosurg Spine. 2017 Aug;27(2):227-234
pubmed: 28574328
Br J Neurosurg. 2016 Oct;30(5):567-70
pubmed: 27100934
J Neurol Neurosurg Psychiatry. 1996 Mar;60(3):282-8
pubmed: 8609504
Clin Neurol Neurosurg. 1985;87(3):159-65
pubmed: 4053471
J Neurol Neurosurg Psychiatry. 2019 Jul;90(7):747-754
pubmed: 30910858
Lancet Neurol. 2003 Aug;2(8):506-11
pubmed: 12878439
J Neurosurg. 1998 Mar;88(3):490-5
pubmed: 9488303
PLoS One. 2015 Mar 30;10(3):e0119973
pubmed: 25821958
J Surg Res. 2014 Sep;191(1):140-7
pubmed: 24787324
Continuum (Minneap Minn). 2016 Apr;22(2 Dementia):579-99
pubmed: 27042909
Acta Neurochir (Wien). 1989;101(3-4):112-6
pubmed: 2618814
Br J Neurosurg. 2017 Jun;31(3):350-355
pubmed: 27774811
Acta Neurochir (Wien). 2013 Oct;155(10):1977-80
pubmed: 23975646
J Neurol Neurosurg Psychiatry. 1997 Jan;62(1):43-50
pubmed: 9010399
Surg Neurol. 2000 Mar;53(3):201-7
pubmed: 10773249
Clin Neurol Neurosurg. 2008 Apr;110(4):369-75
pubmed: 18262344
Neurosurgery. 2005 Sep;57(3 Suppl):S4-16; discussion ii-v
pubmed: 16160425
Acta Neurochir (Wien). 2018 Mar;160(3):509-518
pubmed: 29150794
Cerebrospinal Fluid Res. 2007 Mar 26;4:2
pubmed: 17386089
World Neurosurg. 2017 Mar;99:695-700.e1
pubmed: 28063896
Adv Clin Exp Med. 2012 Jan-Feb;21(1):55-61
pubmed: 23214300
J Neurol Neurosurg Psychiatry. 1996 May;60(5):549-58
pubmed: 8778261
Acta Neurochir (Wien). 1994;126(2-4):113-9
pubmed: 8042541
J Neurosurg. 1997 Nov;87(5):687-93
pubmed: 9347976
Acta Neurochir Suppl. 2012;114:181-5
pubmed: 22327689
PLoS One. 2017 Aug 7;12(8):e0182288
pubmed: 28786990
Fluids Barriers CNS. 2013 Jun 10;10(1):22
pubmed: 23758953
Neurosurgery. 2019 Jul 1;85(1):E75-E82
pubmed: 30476233
J Neurosurg. 1987 Jun;66(6):883-90
pubmed: 3572518
Anesth Analg. 2010 Jan 1;110(1):165-73
pubmed: 19933525
Acta Neurochir (Wien). 2017 Aug;159(8):1421-1428
pubmed: 28616668
Neurosurgery. 2002 Mar;50(3):526-32; discussion 532-3
pubmed: 11841720
Stroke. 2003 Oct;34(10):2404-9
pubmed: 12947157
Fluids Barriers CNS. 2011 Feb 17;8(1):12
pubmed: 21349149
Acta Neurochir Suppl. 2002;81:27-30
pubmed: 12168323
Acta Neurochir Suppl. 2002;81:59-63
pubmed: 12168357
Acta Neurol Scand. 2009 Nov;120(5):317-23
pubmed: 19456302
Cerebrospinal Fluid Res. 2006 Jun 29;3:9
pubmed: 16808836
Neurosurgery. 2016 Jan;78(1):109-19
pubmed: 26295500
Eur J Neurol. 1997 Jan;4(1):39-47
pubmed: 24283820
J Magn Reson Imaging. 2008 Apr;27(4):891-7
pubmed: 18383250
Brain. 2004 May;127(Pt 5):965-72
pubmed: 15033897
Neurosurgery. 2009 Mar;64(3):494-501; discussion 501-2
pubmed: 19240611
J Cereb Blood Flow Metab. 2004 May;24(5):579-87
pubmed: 15129190
J Cereb Blood Flow Metab. 2004 Jan;24(1):17-23
pubmed: 14688613
Neurosurgery. 2004 Jul;55(1):63-7; discussion 67-8
pubmed: 15214974
Stroke. 2009 May;40(5):1820-6
pubmed: 19286593
Acta Neurochir (Wien). 1988;93(3-4):140-5
pubmed: 3177031
Neurology. 2011 Mar 8;76(10):903-9
pubmed: 21383326
Neurosurgery. 2001 Mar;48(3):689-93; discussion 693-4
pubmed: 11270563
Radiographics. 1998 May-Jun;18(3):635-51
pubmed: 9599388
World Neurosurg. 2016 Jan;85:364.e19-22
pubmed: 26342780
Lancet. 2002 Jan 19;359(9302):228-30
pubmed: 11812561
Med Eng Phys. 2013 Oct;35(10):1490-8
pubmed: 23664413
Acta Neurochir Suppl. 2005;95:247-51
pubmed: 16463858
AJNR Am J Neuroradiol. 2001 Oct;22(9):1665-73
pubmed: 11673159
J Neurol Neurosurg Psychiatry. 2003 Sep;74(9):1354; author reply 1354-5
pubmed: 12933962
Childs Nerv Syst. 2001 Jun;17(7):382-90
pubmed: 11465790
J Cereb Blood Flow Metab. 2017 Feb;37(2):694-705
pubmed: 26994043
J Neurol Neurosurg Psychiatry. 1977 Feb;40(2):105-19
pubmed: 864474
J Neurosurg. 2006 May;104(5):731-7
pubmed: 16703877
World Neurosurg. 2016 Feb;86:186-193.e1
pubmed: 26428326
Neurology. 2014 Apr 15;82(15):1347-51
pubmed: 24634454
Neurol Res. 2016 Jul;38(7):587-92
pubmed: 27278507
Neurosurgery. 2005 Sep;57(3 Suppl):S17-28; discussion ii-v
pubmed: 16160426